Abstract
Much of the existing Indigenous cancer research focuses on First Nation populations or reports on pan-Indigenous data that include First Nations, Métis, and Inuit metrics together, which fails to capture the distinct lived realities, experiences of colonialism, and culture of each Indigenous group. The purpose of this scoping review was to summarize existing knowledge on cancer among Métis peoples in Canada, offering direction to researchers, institutions, and policymakers for future actions that enhance Métis-specific cancer surveillance and cancer care. We searched Embase, Medline, iPortal, and Proquest Theses and Dissertations databases, Google Scholar and Google, alongside ten websites relevant to cancer and Métis peoples. Two reviewers gathered 571 records. After screening, 77 records were included. Data show that Métis peoples experience higher behavioral risk factors, lower screening participation, higher cancer incidence for some cancers, and higher mortality rates compared to the non-Indigenous population. Existing research is piece-meal and researchers emphasize that there is inadequate Métis-specific cancer data. There is a need for targeted, Peoples-specific cancer control interventions to reduce these health inequities and a coordinated, Peoples-specific approach to cancer research. These efforts must involve collaboration among Métis Nations and organizations, provincial governments and agencies, researchers, and policymakers.
Highlights
There is strong evidence that current health outcomes among Indigenous populations including First Nation, Inuit and Métis (FNIM) in Canada are significantly poorer compared to those of non-Indigenous peoples in Canada [1,2,3]. (We draw from Hutchinson et al.(2018) when using different terminology referring to Indigenous peoples: “the termsFirst Nations, Inuit, and Métis are used to describe the three Indigenous populations in Canada
Alongside highlighting data gaps identified in the literature, this review shows that much of the cancer research among Métis populations exists at the local, regional, or provincial level, and has occurred in an ad hoc manner
This review shows that there is a trajectory towards Peoples-specific cancer control in Canada, demonstrated by literature published by provincial Métis governments, by the current national cancer strategy [64], as well as by educational materials such as Cancer
Summary
There is strong evidence that current health outcomes among Indigenous populations including First Nation, Inuit and Métis (FNIM) in Canada are significantly poorer compared to those of non-Indigenous peoples in Canada [1,2,3]. (We draw from Hutchinson et al.(2018) when using different terminology referring to Indigenous peoples: “the termsFirst Nations, Inuit, and Métis are used to describe the three Indigenous populations in Canada. There is strong evidence that current health outcomes among Indigenous populations including First Nation, Inuit and Métis (FNIM) in Canada are significantly poorer compared to those of non-Indigenous peoples in Canada [1,2,3]. (2018) when using different terminology referring to Indigenous peoples: “the terms. First Nations, Inuit, and Métis are used to describe the three Indigenous populations in Canada. First Nations and/or Inuit and/or Métis are referred to in keeping with the data source. The Métis are a distinct Indigenous people and nation in the historic Northwest of Canada that emerged during the late 18th century through the fur trade. It is worth distinguishing those with mixed heritage from distinct rights-bearing Métis: “Not every person of mixed European-
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